11/14/2020 View Examination Form-I

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UTTAR PRADESH SECONDARY EDUCATION SERVICES SELECTION BOARD

I declare that I have Read the detailed User Manual and Notification

Notification Details (Examination)

Advertisement/Notification Number : 01/2020/ General

Applied For Post : Uttar Pradesh Secondary Education Service Selection Board / TGT - ART

Applied Under : बालक वग -कॉलेज / सं थान (Boys Category - College / Institute)

Candidate's Personal Details Photo and Signature

Application ID : UP0020091631003000486
Candidate Registration No. : UP00210030161718
Candidate Name : ANJU RAJPUT

Father's/Husband's Name : JAYNARAYAN RAJPUT

Mother's Name : BADAM SHRI

Gender - Date of Birth : Female - 08/09/1990

Are you Domicile of UP? / Category : Yes / OBC NON CREAMYLAYER

Are you Married? : Yes

Contact No./ Email-ID : XXX-XXX-0106 / ****singh7195@gmail.com

Bank Transaction Details

Bank Name - Payment Mode : State Bank Of India - INB

Fees, Transaction ID - Date : Rs. 750.00 , CPAAKLARZ5 - 14/11/2020

High School & Intermediate Board,Year of passing & Roll Number Details
Examination Board Name Year of Roll Obtained Total
Passed Passing Number Marks Marks

High School UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2005 1220471 285 600
EDUCATION

Intermediate UTTAR PRADESH BOARD OF HIGH SCHOOL AND INTERMEDIATE 2007 0681691 284 500
EDUCATION

Essential Qualification Details

Sr. Essential Qualification Equivalent Affirmation State Name/ Year Of Certificate/ Roll Evalation Percentage
No. Qualification Board/ Institution/ University Passing Number Type
Issuance Date Obtained
Marks/
Total Mark

1. राजक य कला और श प ा व धक कला Yes UTTAR PRADESH - 2020 4050067 MARKS 52.00
व यालय, लखनऊ का आट के साथ उ तर UP BOARD PRAYAGRAJ 27/06/2020 52.00
मा टस े नंग साट फकेट (जो दे श मा य मक 100.00
पहले ाइंग ट चस साट फकेट श ा प रष क
कहलाता था) अथवा इ टरमी डएट
पर ा

2. भारत म व ध वारा था पत Yes UTTAR PRADESH - 2012 0328398 MARKS 55.78

कसी मा यता ा त Chatrapati Shahuji Maharaj 23/06/2012 753.00
व व व यालय से नातक Kanpur University, Kalynpur, 1350.00
उपा ध। (शासनादे श सं या Kanpur-208 024, Uttar Pradesh.
1121/15-8-90/3087/89 (State University).
दनांक 28 फरवर , 1990 के
अनु म म)

Preferential Qualification Details

Qualification Acquired

भारत म व ध वारा था पत कसी मा यता ा त व व व यालय से एल0ट 0 या बी0एड0 उपा ध । No

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11/14/2020 View Examination Form-I

भारत म व ध वारा था पत कसी मा यता ा त व व व यालय से एम0एड0 उपा ध । No

भारत म व ध वारा था पत कसी मा यता ा त व व व यालय से डी0 फल0 उपा ध या पी0एच0डी0 अहता । No

↓ Address Details ↓ Candidate's Permanent Address Candidate's Correspondence/Mailing Address

Name (C/O) : JAYNARAYAN RAJPUT JAYNARAYAN RAJPUT

House no./Village : DWARIKA GANJ WARD NO 14 SUNATHA ROAD DWARIKA GANJ WARD NO 14 SUNATHA ROAD

Street No./Post Office : JHINJHAK JHINJHAK

State / District Name : UTTAR PRADESH UTTAR PRADESH

KANPUR DEHAT KANPUR DEHAT

Tahsil : DERAPUR DERAPUR

Police Station : MANGALPUR MANGALPUR

Block : JHINJHAK JHINJHAK

Village : NA NA

PIN : 209302 209302

कस वग के कॉलेज / सं थान (बालक / बा लका ) के लए आवेदन तत ु करना चाहते है ?

(For which Category of College / Institute (Boys / Girls ), do you want to submit the Application? )
आप अपना आवेदन कस वग के कॉलेज / सं थान (बालक / बा लका ) के लए तत ु करना बालक वग -कॉलेज / सं थान (Boys Category - College / Institute)
चाहते ह?
For which Category of College / Institute (Boys / Girls ), do you want to submit
your Application? :

आपके वारा भरा गया आवेदन प केवल बालक वग -कॉलेज / सं थान (Boys Category - College / Institute) के लए ह चयन बोड वारा अ म कायवाह हे तु वीकाय होगा | -
Yes (हाँ)

Ad-hoc Teacher Details (तदथ श क ववरण) :

Are you currently an ad-hoc teacher in aided nongovernment secondary school of Uttar Pradesh? No
( या आप वतमान म उ तर दे श के सहायता ा त अशासक य मा य मक व यालय म तदथ श क ह ?) :

Declaration
1. I hereby declare that I have read all the provisions in the notice/advertisement of the examination carefully and hereby undertake to abide by them.

2. I further declare that I fulfill all the conditions of eligibility regarding age limits,educational qualifications etc. prescribed for admission to the examination.

3. I decalre that my claim for reservation as SC /ST/OBC candidate's are true and correct and I am in possession of my caste certificate in the prescribed format given
in the notice/advertisement of the examination .I also declare that as per Govt. order No.22/16/92/T.C.-III DATED 22-10-2008 I do not belong to the person/sections
(creamy layer) mentioned in it.

4. I (for male candidates ) also declare that I have no more than one wife living/(for female candidates) have not married a man already having a wife living.

5. I also declare that I have never been convicted by any court of law. I also declare that no criminal case is pending against me. Further declare that I have never
been dismissed or removed from Govt. Service or my service been terminated during probation.

6. I hereby declare that all the entries /statements made in this application are true ,complete and correct to the best of my knowledge and belief. In the event of any
information being found false or incorrect or ineligibility being detected before or after selection the Board can take action against me as per rules in case it is detected
that I have mislead the Board on any issue then I will solely responsible for all penal consequences thereof.

I accept the above declaration : Yes

↓ Current status of application ↓

Your application is under processing.

Application Form Submission Date : 14/11/2020 , Time : 1:34:15 PM

Application Form printing Date & Time : [ 14/11/2020 ,1:38:26 PM ]

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